Resources for Privacy Practices
We believe that privacy is part of Walgreens commitment to you. If you have a complaint about our privacy practices or would like to request information about how your personal information has been used, please contact us at one of the links below. Or, contact us at email@example.com.
Online or PDF Complaint Form
If you have a complaint about our Privacy Practices, please use the online complaint form or print out a complaint form (PDF) to mail to us, or contact the Privacy Office directly using the information below:
- 200 Wilmot Road, MS 9000
- Deerfield, Illinois 60015
PDF Request Forms
You have the right to know how your information has been used.
You may request to review the personal health information held about you in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
You may request that your protected health information be sent to you via alternative means or to an alternative location.
If the health information held about you is incomplete or incorrect, you may request to amend/correct it here.
You may request to restrict the use and disclosure of your protected health information.
You may wish to have a spouse, parent, adult child, or caregiver have access to your medical and health information on an on-going basis to assist with your care and maintaining your information.
You may use this Authorization form if you are authorizing the release of medical/health information to a third party, such as a housing authority, insurance company, or law office.